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December 2020 December 2020 The Human Milk Insights newsletter presents the latest breastfeeding topics and clinical practice solutions, addresses coding issues challenging the lactation community, features a lactation service, and announces upcoming webinars and conferences. CONTRIBUTORS FEATURED STORIES THIS MONTH Katie McGee, RN, BSN, IBCLC Education Consultant NEWS YOU CAN USE Westchester, IL. ▪ Human Milk and Newborn Health Maria Lennon, MSN, CNM, IBCLC ▪ Human Milk and COVID-19 Nurse-Midwife, Perinatal Education ▪ Human Milk in the NICU Consultant ▪ Human Milk and Maternal Health Sedona, AZ. ▪ Human Milk Production Irene M. Zoppi, RN, MSN, IBCLC ▪ Human Milk and Public Health Clinical Education Specialist Medela LLC. HUMAN MILK EDUCATION Hanover, MA. ▪ Human Milk Monthly Webinar Series ▪ COVID-19 and Breastfeeding Webinar Kim Colburn, BPC Series Education & Program Coordinator Medela LLC ▪ Breast Shield Research ▪ Neonatal Perspectives ▪ Initiation Education CLINICAL PEARLS IN LACTATION ▪ High Energy Drinks and Breastfeeding, Are They Safe? TOOLS YOU CAN USE Medela’s Online Breastfeeding Guide ▪ SPOTLIGHT ON PRACTICE ▪ Paula M. Sisk, PhD, RD, IBCLC NEWS YOU CAN USE Cibele Wolf Lebrão, MD, MSc…/September HUMAN MILK AND NEWBORN 2020 Case Study : Human milk antibodies HEALTH and protection against COVID-19 with Research Review and Meta-Analysis infected mothers https://doi.org/10.1177/0890334420960433 The Calming Effect of Maternal Breast Milk on Term Infant: A Randomized A Call to Ensure Access to Human Milk Controlled Trial for Vulnerable Infants During the COVID- Bircan Taşçı …/Published online Nov 2020 19 Epidemic Maternal breast milk odor and impact on newborn pain during heel prick blood Virginie Rigourd MD, PhD…/June sampling 2020 Impact of COVID-19 on human milk https://doi.org/10.1089/bfm.2020.0116 banking including reduction in donors and impact on recipients Research Review https://journals.sagepub.com/doi/10.1177/0 890334420938036 A Scoping Review of Research on the Research Article Human Milk Microbiome Maureen Wimberly Groer, PhD…/July Telelactation: A Necessary Skill With 2020 Appraisal of current research Puppet Adjuncts During the COVID-19 regarding four areas of the milk microbiome Pandemic and health effects for infants Sarah Dhillon BSc Midwifery, https://doi.org/10.1177/0890334420942768 IBCLC…/September 2020 Lactation care HUMAN MILK AND COVID-19 via telehealth and useful supports during telehealth lactation consults https://doi.org/10.1177/0890334420958623 State of the Science Implications of the COVID-19 Pandemic HUMAN MILK AND NICU Response for Breastfeeding, Maternal Caregiving Capacity and Infant Mental Systematic Review Health The Role of Human Milk in Decreasing Karleen Gribble, PhD, BrurSc*…/ FABM, FAAP…/Aug 2020 Outline review of Necrotizing Enterocolitis Through breastfeeding and infant health during the Modulation of the Infant Gut Microbiome: pandemic A Scoping Review https://doi.org/10.1177/0890334420949514 Jessica A. Davis, BSN…/August Early Identification of IgA Anti- 2020 Review summarizing gut microbiome SARSCoV-2 in Milk of Mother With and relationship of human milk and COVID-19 Infection decreased rate of necrotizing enterocolitis in premature infants HUMAN MILK AND PUBLIC HEALTH https://doi.org/10.1177/0890334420950260 Systematic Review HUMAN MILK AND MATERNAL HEALTH Breastfeeding Protection, Promotion, and Support in Humanitarian Emergencies: A Systematic Review of Systematic Review Literature Incidence of and Risk Factors for Immacolata Dall’Oglio, RN, MSN, IBCLC, Lactational Mastitis: A Systematic PhD…/Feb 2020 Review of optimal Review practices supporting interventions during emergencies Emily Wilson, MSc…/, April 2020 Summary https://doi.org/10.1177/0890334419900151 of risk factors for mastitis in an effort to identify prevention and continuation of ORGANIZATIONAL STATEMENTS breastfeeding AND RESOURCES REGARDING https://doi.org/10.1177/0890334420907898 COVID-19 Research Review CDC: The Centers for Disease Control and Prevention Breastfeeding Among Mothers Who Have Experienced Childhood CDC released several updated publications Maltreatment: A Review and resources: Amara Channell Doig, MPH…/September Risk comparison of pregnant and non- 2020 Review of current research: maternal pregnant women with COVID-19 personal experience of maltreatment in https://www.cdc.gov/mmwr/volumes/69/wr/ childhood and impact on breastfeeding mm6944e3.htm?eType=EmailBlastContent outcomes and duration. &eId=5f8868d4- f92c-49d6-9c2f- https://doi.org/10.1177/0890334420950257 e86a1e43b1f3 HUMAN MILK PRODUCTION Preterm birth during pregnancy while infected with COVID-19 Research Review https://www.cdc.gov/mmwr/volumes/69/wr/ mm6944e2.htm?eType=EmailBlastContent Methods and Success Factors of &eId=5f8868d4-f92c-49d6-9c2f- Induced Lactation: A Scoping Review e86a1e43b1f3 Gemma Cazorla-Ortiz…/September 2020 Updated webpage resource list reflects new Assessment of differing approaches to evidence and considerations for pregnancy, induce lactation and factors that influence breastfeeding, and provision of human milk successful milk production related to COVID-19: https://doi.org/10.1177/0890334420950321 https://www.cdc.gov/coronavirus/2019- presenting Evolution of Hawaiian Birthing ncov/hcp/care-for-breastfeeding- and Breastfeeding Traditions and the women.html?eType=EmailBlastContent&eId Influence of COVID-19. Complimentary =61111735-e7b7-4ca5-aaeb-0f5a4079d857 registration is now open! For more information or to register, visit https://www.cdc.gov/coronavirus/2019- www.MedelaEducation.com. ncov/need-extra-precautions/pregnancy- breastfeeding.html?eType=EmailBlastConte Medela would like to invite you to look at a nt&eId=5f8868d4-f92c-49d6-9c2f- brand new dedicated webpage for e86a1e43b1f3 healthcare professionals on the global impact of COVID on Breastfeeding. It JAMA: The Journal of the American contains a lot of resources, important facts Medical Association Pediatrics and figures from research, and educational Updated resource with information and guidelines for breastfeeding while materials for professionals. COVID-19 positive, or with known www.medela.com/breastfeedingduringcovid exposure https://jamanetwork.com/journals/jamapedia Improving pumping effectiveness is critical trics/fullarticle/2772176 for many women who express their milk. Breast shield design and fit are important HUMAN MILK EDUCATION factors that can improve milk removal, comfort, and the overall pumping On Wednesday, December 2ND, Nania experience. Click here to watch the Schärer-Hernández, PhD and Leon recorded webinar by Danielle Prime, PhD Mitoulas, PhD presented Breastfeeding, The PersonalFit™ PLUS/Flex 105° Oval Human Milk and COVID-19: What Does the Breast Shield: Research Review and Evidence Say? To watch the recorded Sizing/Fitting Guidelines. webinar, please visit the following link. Please note, this recording does not offer Neonatal Perspectives This is a blog for NICU professionals that Nursing Contact Hours. features clinical information from neonatal https://www.medela.com/breastfeeding- consultants, as well as industry news and professionals/news-events/2020-webinar- popular topics. Click here to read the latest series blogs. On Thursday, December 10th, Dani Interested in learning more about initiation Dumitriu, MD, PhD and Cynthia Gyamfi- of breast milk? Click here to see what Bannerman, MD, MSc, FACOG will be education tools we have available. We also presenting Protecting the Mother-Baby have promo codes for the following online Dyad During the COVID-19 Pandemic: The courses. Columbia University Experience. Initiation of Lactation: At Risk Mothers and Complimentary registration is now open! For Proactive Interventions Promo code more information or to register, visit XS6TSP www.MedelaEducation.com. Initiate, Build and Maintain Milk Supply On Wednesday, December 16th, Amanda Promo code GQ6NET Gontarek, BSN, RN, IBCLC will be CLINICAL PEARLS IN LACTATION This column is for lactation practitioners to share clinical challenges and successes, observations and pearls with colleagues. To share a clinical pearl, submit it here. If your submission is selected for publication in a future issue of Human Milk Insights, you will receive a $25.00 VISA gift card. High Energy Drinks and Breastfeeding, Are They Safe? It’s getting close to the holidays, which means it’s time for even more shopping, cooking, cleaning - all while helping the little ones with their online lessons, caring for a newborn, and perhaps even working from home too. How is a mother to manage? No wonder some mothers are reaching for popular energy drinks to get an energy boost and relieve fatigue. But are energy drinks safe to consume while breastfeeding? As a general rule, consuming caffeine in moderation is considered safe for breastfeeding mothers. That means about 3 cups of coffee per day (300 - 500 mg) or a couple of energy drinks, depending on the brand. It’s important for mothers to observe their babies for signs of caffeine stimulation because some infants who are very sensitive to the effects of caffeine may exhibit a rapid heart rate, fussiness, and sleeplessness. Caffeine is a unique drug in that it has a long half-life in infants. The half-life of caffeine in a newborn is approximately 100 -120 hours. At 3-5 months of age, the half-life is decreased to 14 hours. As infants get older, they can metabolize caffeine more efficiently, and may be able to tolerate caffeine if their mothers are consuming it in beverages or foods versus showing stronger sensitivity signs
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